CN101801302B - Surgical instrument - Google Patents

Surgical instrument Download PDF

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Publication number
CN101801302B
CN101801302B CN2008801062991A CN200880106299A CN101801302B CN 101801302 B CN101801302 B CN 101801302B CN 2008801062991 A CN2008801062991 A CN 2008801062991A CN 200880106299 A CN200880106299 A CN 200880106299A CN 101801302 B CN101801302 B CN 101801302B
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CN
China
Prior art keywords
theater instruments
operating theater
connector
trocar
connection element
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN2008801062991A
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Chinese (zh)
Other versions
CN101801302A (en
Inventor
J·丹克尔曼
T·霍雷曼
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Technische Universiteit Delft
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Technische Universiteit Delft
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Publication date
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Publication of CN101801302A publication Critical patent/CN101801302A/en
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Publication of CN101801302B publication Critical patent/CN101801302B/en
Expired - Fee Related legal-status Critical Current
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/40Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/06Biopsy forceps, e.g. with cup-shaped jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3419Sealing means between cannula and body

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a surgical instrument for minimall-invasive surgery, comprising a handle, a shaft and an actuating part, characterised by a gastight cover surrounding the shaft, wherein the cover is provided with a coupler that has a feed- through opening with a loskable seal, through which feed- through opening, after the seal is unlocked, the shaft with the actuating part can reach.

Description

Operating theater instruments
Technical field
The present invention relates to a kind of operating theater instruments that is used for Minimally Invasive Surgery, described operating theater instruments comprise handle, axostylus axostyle and be positioned at axostylus axostyle away from the control section at the place, end of handle.The invention still further relates to a kind of trocar or intubate that is provided with separator, described separator will be placed on the patient body so that safeguard gnotobasis.
Background technology
Relating to the document that utilizes spacer assembly that the aseptic operation environment is provided is extensively to exist.
Described the use of plastic jacket in people's such as BMJ (British Medical Journal) the 1st phase in 1974 322-324 page or leaf J.McLauchlan article " surgery separator (The Surgical Isolator) ", patient body is placed and surrounded to described plastic jacket under pressure.Operation is undertaken by the manhole that is arranged in the cover.
In addition, from the 1st piece of people such as 123-130 page or leaf Stephen N.Joffe of world surgery magazine (World Journal of Surgery) the 2nd volume January in 1978 " the closed system operation separator (A Closed System Surgical Isolator For Major Elective Abdominal Operations) that is used for large-scale optional abdominal operation " also separator like the known class.
Patent documentation equally also is extensively to exist; Known separator is usually directed to the application in the routine operation from various patent publications.Described patent publications comprises that European patent application EP-A-537768, publication number are 2,403,400,2,473,033,1,118,657,4,026,286,5,083,558,5,316,541,5,728,041,6,321,764,1,488,772 United States Patent (USP) and application number are 2004/0074212,2004/024014,2004/0116770 and 2007/0112336 U.S. Patent application.
The target of current a period of time is to reduce large-scale operating number of times by implementing alternate Minimally Invasive Surgery.The identical standard of the working condition of the aseptic working environment of relevant up to now maintenance is applicable to routine operation.
Summary of the invention
The present invention is based on following viewpoint:, can and guarantee that at the position of the enforcement micro-wound surgical operation of patient body aseptic working environment is just enough so that become about the requirement of guaranteeing aseptic working environment and not have so strictly by Minimally Invasive Surgery.
The objective of the invention is to strengthen the adaptability of Minimally Invasive Surgery, particularly by guaranteeing to guarantee that in operating theater instruments replacing process aseptic working environment strengthens the adaptability of Minimally Invasive Surgery.
For this reason, assembly according to operating theater instruments of the present invention, trocar or operating theater instruments and trocar has been proposed.
In a first aspect of the present invention, operating theater instruments is characterised in that: the air-tightness cover that surrounds axostylus axostyle, wherein said being covered with is equipped with the connector with feed-through hole, described feed-through hole has the sealing member that can lock, after sealing member was disengaged locking, the axostylus axostyle that has control section can pass described feed-through hole.
When this operating theater instruments did not connect with trocar, the air-tightness cover that has the sealing member that can lock guaranteed that the intravital part of patient (being axostylus axostyle and control section) that can be incorporated into of operating theater instruments keeps aseptic.
What need is can be disengaged locking by connector is connected the sealing member that makes it possible to lock with the connection element of trocar, and when not carrying out above-mentioned connection, sealing member to be blocked.
Correspondingly, the trocar that to be placed on the patient body with the separator of guaranteeing gnotobasis that is provided with of the present invention of giving chapter and verse, described trocar has connection element, described connection element is designed to cooperate with the connector of above-mentioned operating theater instruments, so as only when the connection between connection element and the connector realizes the sealing member of connector just be disengaged locking.
Preferably, the assembly of operating theater instruments according to the present invention and trocar is embodied as the structure that makes connector and connection element be provided with to be used to that the buckle realizing dismantling is connected.
Be characterised in that about one of this assembly most suitable embodiment: the structure that the buckle that is used for dismantling connects comprises the reception space that at least one has the sheet spring of protuberance and is used to receive this at least one sheet spring, described reception space comprises the edge, protuberance can be stuck in the back at described edge, wherein sheet spring and reception space are received in respectively in connector and the connection element, and vice versa.
The preferred embodiment of operating theater instruments needs: connector comprises can be by the stop pin of the connection element operation of trocar, described stop pin has latched position and off-position, at described latched position sealing member is blocked, and is opened to allow axostylus axostyle to pass through at the described feed-through hole in described off-position.
Preferably, the feature of operating theater instruments also is: stop pin is cooperated with the plate that can move in the connector, in described latched position, shear-pin can insert in the described feed-through hole, thereby the described plate that can move is fixed, and shear-pin prevents that axostylus axostyle from passing through, and in described off-position, shear-pin is opened feed-through hole and passed through to allow axostylus axostyle.
In order to rise to the ability that relevant operating theater instruments keeps gnotobasis as much as possible, what need is: the preferential position of stop pin is a latched position.
Because the plate that can move is spring-loaded, thus be to use according to the benefit of operating theater instruments of the present invention easy, thereby when stop pin was pushed to the off-position, the described plate that can move moved to the position that shear-pin is opened feed-through hole.
Trocar according to the present invention is provided with and is used to be placed on the patient body operative site to guarantee the separator of gnotobasis.
Make trocar originally before keep aseptic plain mode in being incorporated into patient's body in order to provide, trocar according to the present invention is characterised in that: separator was the closed bladder that surrounds trocar before using first.The trocar that will have bladder is placed on the patient body and introduces trocar subsequently and causes bladder to be punctured, and trocar prepares to be used to introduce operating theater instruments immediately.
As above mentioned, the sealing member that the axostylus axostyle that has control section of operating theater instruments can pass will be only owing to the cooperation between trocar and the operating theater instruments is opened.
Be arranged on the buckle that can dismantle between the connection element of the connector of operating theater instruments and trocar connect guaranteed above mentioned sealing member only unlock described buckle connect realize after generation.Then, the plate that can move in the connector that is arranged on operating theater instruments that the buckle that can dismantle connects and described at least one sheet spring cooperation, thereby open the off-position of feed-through hole at shear-pin, the plate that can move of operating theater instruments prevents described at least one sheet spring motion, and protuberance keeps being stuck in the back that receives spatial edge.
Description of drawings
Schematically illustrating of exemplary embodiment below by the assembly of as shown in the drawing operating theater instruments, trocar and operating theater instruments and trocar explained the present invention in more detail.
Need benly to be, to the unqualified effect of claims, but following explanation only is used for possible uncertainty is illustrated, and claim is not limited to any situation shown in the accompanying drawing with reference to exemplary embodiment shown in the drawings.
In the accompanying drawings:
Fig. 1 illustrates the assembly according to trocar of the present invention and operating theater instruments;
Fig. 2 illustrate be placed on patient's abdominal part according to two trocars of the present invention and operating theater instruments;
Fig. 3 illustrates according to operating theater instruments of the present invention;
Fig. 4 illustrates the trocar that has the separator of one according to of the present invention;
Fig. 5 a and Fig. 5 b are shown specifically and are in the not trocar and the operating theater instruments connection element and the connector separately of coupled situation; With
Fig. 6 a and Fig. 6 b are shown specifically Fig. 5 a that is in coupled situation and connection element and the connector shown in Fig. 5 b.
Identical in the accompanying drawings Reference numeral refers to identical parts.
The specific embodiment
Fig. 3 illustrates according to operating theater instruments 1 of the present invention, and described operating theater instruments 1 is designed for Minimally Invasive Surgery, and the control section (actuating part) 4 at the described operating theater instruments 1 end place relative with handle 2 that comprise handle 2, axostylus axostyle 3 and be positioned at axostylus axostyle 3.
The feature of described operating theater instruments 1 also is to be provided with the air-tightness cover 5 of connector 6, and connector 6 comprises the feed-through hole (feed-through hole) that has the sealing member that can lock, and the described sealing member that can lock will be described in more detail below.Make after sealing member unlocks, the axostylus axostyle 3 that this feed-through hole allows to have control section 4 passes through.
Fig. 4 illustrates according to trocar 7 of the present invention, and described trocar 7 is provided with and can be placed on the separator 8 to guarantee gnotobasis on the patient body.This trocar 7 has connection element 9, and described connection element 9 is designed to cooperate with the connector 6 of operating theater instruments shown in Figure 31, when realizing with the above-mentioned connection of box lunch, the above-mentioned sealing member of connector 6 is unlocked.
Fig. 4 also illustrates the space that separator 8 is provided with sealing.Separator 8 may be embodied as bladder, can for example be punctured at cross labelling 10 places when bladder is placed on the patient body.For described bladder stably is placed on the patient body, described bladder can be provided with bearing edge 11.
Fig. 1 illustrates the assembly according to trocar 7 of the present invention and operating theater instruments 1 after realizing connecting between the connection element 9 of the connector 6 of operating theater instruments 1 and trocar 7.So just, open the sealing member of connector 6 and allow axostylus axostyle 3 to pass (reach through) sealing part, pass trocar 7 and from the separator 8 of trocar 7, stretch out.Control section 4 just is in patient's body fully then.
In fact, when assembly in use the time, state shown in Figure 1 will take place in the minimal invasive surgical procedures shown in Fig. 2 right side.Control section illustrates the inside, abdominal cavity that is positioned at patient 12.
Fig. 2 left side illustrates operating theater instruments 1 and throws off the state that connects from trocar 7.Under this state, axostylus axostyle 3 and control section 4 are in the inside by cover 5 protectors that form fully, have prevented that the disinfectant air does not enter in patient's 12 bodies via connection element 9 and trocar 7 and apply suitable overvoltage at patient 12 intraperitoneal.
Fig. 5 a and Fig. 5 b at length illustrate the connector 6 of operating theater instruments and the connection element 9 of trocar 7, and this two width of cloth figure has omitted for the unnecessary member of following explanation.
Fig. 5 a and Fig. 5 b illustrate connector 6 not with state that the connection element 9 of trocar 7 is connected under the perspective view and the vertical view of connector 6.
Fig. 6 a and Fig. 6 b illustrate the connector 6 of the operating theater instruments that is in coupled situation and the connection element 9 of trocar with perspective view and vertical view respectively.The connector 6 of operating theater instruments comprises stop pin 13, connects with the connection element 9 of trocar 7 by the connector 6 with operating theater instruments described stop pin 13 is moved upward.So just, make stop pin 13 move to the off-position shown in Fig. 6 a from the latched position shown in Fig. 5 a.This off-position allows to be included in the position that feed-through hole 15 that the plate that can move 14 in the connector 6 moves to the axostylus axostyle of operating theater instruments is opened.Shown in Fig. 5 b and Fig. 6 b, this feed-through hole 15 is arranged in the plate 14 that can move.Yet if stop pin 13 is in the latched position shown in Fig. 5 a and Fig. 5 b, the plate 14 that can move moves to the position of shear-pin 16 locking feed-through holes 15.
Fig. 6 b illustrates when stop pin 13 is pushed to the off-position, and the plate 14 that can move is placed on the position that shear-pin 16 no longer locks this feed-through hole 15, makes the sealing member that can correspondingly lock be disengaged locking thus.
The above-mentioned motion of the plate 14 that can move takes place when stop pin 13 is in the off-position, and the above-mentioned motion of the plate 14 that can move preferably loads by spring and activated.The spring that is used for this purposes is by Reference numeral 17 indications.Similarly, stop pin 13 carries out spring by means of spring 18 and loads, so the preferential position of stop pin 13 is latched positions.
For operable lock rationed marketing 13, stop pin 13 is shelved on the stayed surface 19 of connection element 9 of trocar 7, referring to Fig. 5 a.
Fig. 5 a specifically illustrates the connector 6 of operating theater instruments with Fig. 6 a and the structure (features) that is used to provide the buckle that can dismantle between the two to be connected is provided the connection element 9 of trocar 7.
These structures that the buckle that is used for dismantling connects comprise two sheet springs 20, and each sheet spring 20 is provided with protuberance 21, and described spring 20 for example is arranged on the connector 6.Each sheet spring 20 all cooperates with reception space 22 in the connection element 9 that is arranged on trocar 7, and described space 22 is used for receiving sheet spring 20, and the protuberance 21 of this print spring 20 is stuck in the back at the edge 23 that receives space 22.Obviously the position in sheet spring 20 and reception space 22 still is interchangeable.
Fig. 6 a and Fig. 6 b illustrate the state that the connection element 9 of the connector 6 of operating theater instruments and trocar 7 is linked together.Fig. 6 b is clearly shown that when the plate 14 that can move is in the position that the feed-through hole 15 of the axostylus axostyle 3 that is used for operating theater instruments 1 and control section 4 is opened, the described plate that can move 14 is simultaneously with sheet spring 20 locks in place, and prevents that the protuberance 21 of sheet spring 20 from contacting destroyed with buckle between the edge 23 that receives space 22.

Claims (11)

1. operating theater instruments (1) that is used for Minimally Invasive Surgery, described operating theater instruments (1) comprises handle (2), axostylus axostyle (3), be positioned at the control section (4) at place, the end relative of axostylus axostyle (3) and the cover (5) that surrounds axostylus axostyle (3) with handle (2), it is characterized in that: described cover (5) is the air-tightness cover, wherein said cover (5) is provided with the have feed-through hole connector (6) of (15), described feed-through hole (15) has the sealing member (14 that can lock, 16), have the sealing member (14 that can lock, 16) air-tightness cover guarantees that can the be incorporated into intravital axostylus axostyle of patient (3) and the control section (4) of operating theater instruments (1) keep aseptic, and at sealing member (14,16) be disengaged after the locking, the axostylus axostyle (3) that has control section (4) can pass described feed-through hole (15).
2. operating theater instruments according to claim 1 (1), it is characterized in that: the sealing member (14 that can lock, 16) can connect with the connection element (9) of trocar (7) by connector (6) and be disengaged locking described cover (5), and described sealing member (14,16) is blocked when not carrying out above-mentioned connection.
3. operating theater instruments according to claim 1 and 2 (1), it is characterized in that: connector (6) comprises can be by the stop pin (13) of the connection element (9) of trocar (7) operation, described stop pin (13) has latched position and off-position, at the described sealing member (14 of described latched position, 16) be blocked, and be opened to allow axostylus axostyle (3) to pass through at the described feed-through hole in described off-position (15).
4. operating theater instruments according to claim 3 (1), it is characterized in that: stop pin (13) is cooperated with the plate that can move (14) in the connector (6), in described latched position, shear-pin (16) can insert in the described feed-through hole (15), thereby the described plate that can move (14) is fixed, and shear-pin (16) prevents that axostylus axostyle (3) from passing through, and in described off-position, shear-pin (16) is opened feed-through hole (15) and passed through to allow axostylus axostyle (3).
5. operating theater instruments according to claim 4 (1), it is characterized in that: the plate that can move (14) is spring-loaded, thereby when stop pin (13) when being pushed to the off-position, the described plate that can move (14) moves to the position that shear-pin (16) is opened feed-through hole (15).
6. operating theater instruments according to claim 3 (1) is characterized in that: the preferential position of stop pin is a latched position.
7. one kind is provided with the trocar (7) that will be placed on the patient body with the separator (8) of guaranteeing gnotobasis, it is characterized in that: described trocar (7) has connection element (9), described connection element (9) is designed to cooperate with the connector (6) according to the described operating theater instruments of one of claim 1-6 (1), described connector (6) comprises the stop pin (13) with latched position and off-position, at described latched position sealing member (14,16) be blocked, pass through with the axostylus axostyle (3) that allows operating theater instruments and be opened at the described feed-through hole in described off-position (15), and connection element (9) has stayed surface (19), described stayed surface (19) is used for the stop pin (13) of operating linkage (6), makes the sealing member of connector (6) be disengaged locking when realizing with the connection between convenient connection element (9) and the connector (6).
8. trocar according to claim 7 (7) is characterized in that: separator was the closed bladder that surrounds trocar (7) before using first.
9. one kind by according to described operating theater instruments of one of claim 1-6 (1) and the assembly formed according to the described trocar of one of claim 7-8 (7), it is characterized in that: the structure that the buckle that can dismantle that is used to provide between connector and the connection element connects is provided for connector (6) and connection element (9).
10. assembly according to claim 9, it is characterized in that: the structure that the buckle that is used for dismantling connects comprises the reception space (22) that at least one has the sheet spring (20) of protuberance (21) and is used to receive described at least one sheet spring (20), described reception space (22) comprises edge (23), protuberance (21) can be stuck in the back of edge (23), and wherein sheet spring (20) and reception space (22) are received in respectively in connector (6) and the connection element (9).
11. assembly according to claim 10, it is characterized in that: the plate that can move (14) of operating theater instruments (1) prevents described at least one sheet spring (20) motion when being in the off-position that shear-pin (16) opens feed-through hole (15), thereby protuberance (21) is firmly held in the back at the edge (23) that receives space (22).
CN2008801062991A 2007-07-19 2008-06-20 Surgical instrument Expired - Fee Related CN101801302B (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
NL2000763A NL2000763C2 (en) 2007-07-19 2007-07-19 Isolator for use in combination with a surgical instrument.
PCT/NL2008/050409 WO2009011570A1 (en) 2007-07-19 2008-06-20 Surgical instrument

Publications (2)

Publication Number Publication Date
CN101801302A CN101801302A (en) 2010-08-11
CN101801302B true CN101801302B (en) 2011-11-09

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US (1) US8435260B2 (en)
EP (1) EP2170205A1 (en)
KR (1) KR20100055399A (en)
CN (1) CN101801302B (en)
NL (1) NL2000763C2 (en)
WO (1) WO2009011570A1 (en)

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WO2013012368A1 (en) * 2011-07-15 2013-01-24 Milux Holding S.A. Convertible surgical access port
KR101699053B1 (en) * 2013-11-25 2017-01-23 정창욱 Instrument for Minimally Invasive Surgery Having Curved Shaft
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US11344309B2 (en) * 2019-07-05 2022-05-31 Covidien Lp Circular stapling instruments
US11234704B2 (en) * 2020-03-03 2022-02-01 Covidien Lp Cable-actuated adapter for surgical stapling instrument

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US20100174244A1 (en) 2010-07-08
US8435260B2 (en) 2013-05-07
EP2170205A1 (en) 2010-04-07
WO2009011570A1 (en) 2009-01-22
CN101801302A (en) 2010-08-11
NL2000763C2 (en) 2009-01-20
KR20100055399A (en) 2010-05-26

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